Clinical Observation of Treating Functional Constipation with Spleen-kidney Yang ;Deficiency Syndrome by TCM Hot Patching Guanyuan
10.3969/j.issn.1005-5304.2017.02.009
- VernacularTitle:中药硬膏贴热贴敷关元治疗脾肾阳虚型功能性便秘临床观察
- Author:
Jing ZHANG
;
Yongkang AN
- Keywords:
functional constipation;
spleen-kidney yang deficiency;
TCM hot patching;
Guanyuan
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2017;24(2):29-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of treating functional constipation with spleen-kidney yang deficiency syndrome by TCM hot patching Guanyuan. Methods Totally 61 patients with functional constipation with spleen-kidney yang deficiency syndrome were randomly divided into treatment group (31 patients) and control group (30 patients). Treatment group was given TCM hot patching, heated to 45 ℃, sticking to Guanyuan (RN4), eight hours, one time a day. The control group was treated with polyethylene glycol 4000 powder, 10 g for each time, twice a day, one time for morning and one time for evening. One course lasted for 15 d, 4 courses in total, with six-month follow-up. The improvement of the symptoms, such as difficulty in defecation, interval of defecation, texture of stool, time of defecation, feeling of defecation, weakness of waist and knees, coldness of limbs and so on, were ovserved. The clinical efficacy was evaluated and adverse reaction and recurrence rate were observed. Results After treatment, the symptoms of constipation scores in both groups were significantly improved compared with those before the treatment (P<0.05);the total effiective rate was 90.32%(28/31) in the treatment group, 86.67%(26/30) in the control group, with no significance (P>0.05);the incidence of adverse reaction was 6.5%(2/31) in the treatment group, and 16.7%(5/30) in the control group, with statistical significance (P<0.05). In the follow-up of 2, 4 and 6 months, the relapse rates were 0, 3.6%, and 7.1% for the treatment group, and 7.7%, 38.5% and 50.0% for the control group. Relapse rates of 4 and 6 months of treatment group was significantly lower than the control group (P<0.05). Conclusion TCM hot patching Guanyuan has good efficacy for functional constipation with spleen-kidney yang deficiency syndrome, with few adverse reactions and low relapse rate.
